Individual provider · Type 1 NPI

Kimberly Diane Judd, MA, LPC

Professional Counselor · Austin, TX

NPI number 1902045404 Active

Practice location

3625 Manchaca Rd Ste 202
Austin, TX 78704-5912

Call (512) 731-8105 Map

Mailing address

6102 Ginita Ln
Austin, TX 78739-1639

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X15287 (TX)

Professional Counselor: Definition to come...

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About NPI 1902045404

Kimberly Diane Judd, MA, LPC's National Provider Identifier is 1902045404, issued on Feb 7, 2009. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Austin, TX. The record was last updated on Dec 5, 2012.